Obesity 

Introduction 

Definition of obesity

Obesity can be measured in different ways. An easy way is to simply step on the scales and compare your actual weight with your ideal weight. The Food Standards Agency has created a height/weight chart that you may wish to check.

The most widely used way to measure your weight is to calculate your body mass index (BMI). This is your weight in kilograms divided by your height in metres squared.

  • If your BMI is between 25 and 29.9, you are over the ideal weight for your height (overweight).
  • If your BMI is between 30 and 39.9, you are obese.
  • If your BMI is over 40, you are very obese (known as ‘morbidly obese’).

The BMI calculation cannot take into account if you are particularly muscular, or if you are going through puberty (when your body is still developing).

Obesity is when a person is carrying too much body fat for their height and sex. A person is considered obese if they have a body mass index (BMI) of 30 or greater (see box, to the left).

Today’s way of life is less physically active than it used to be. People travel on buses and cars, rather than walking, and many people work in offices, where they are sitting still for most of the day. This means that the calories they eat are not getting burnt off as energy. Instead, the extra calories are stored as fat.

Over time, eating excess calories leads to weight gain. Without lifestyle changes to increase the amount of physical activity done on a daily basis, or reduce the amount of calories consumed, people can become obese.

How common is obesity?

In 2008, the latest year with available figures, nearly a quarter of adults (over 16 years of age) in England were obese (had a BMI over 30). Just under a third of women, 32%, were overweight (a BMI of 25-30), and 42% of men were overweight.

Amongst children (2-15 years of age), one in six boys and one in seven girls in England were obese in 2008. The number of overweight children was also around one in seven. 

The number of overweight and obese people is likely to increase. The Foresight report, a scientific report used to guide government policy, has predicted that by 2025, nearly half of men and over a third of women will be obese. 

Outlook

Obesity can cause a number of health problems, such as type 2 diabetes (a condition caused by too much glucose in the blood), and heart disease (when the heart’s blood supply is blocked).

Being overweight or obese can also shorten life expectancy (how long a person should live). In obese adults over 40 years of age, obesity can shorten life expectancy by 6-7 years. 

Obesity is treated by losing weight, which can be achieved through a healthy, calorie-controlled diet and increased exercise. The lifestyle changes necessary for long-term weight loss can be challenging to achieve, but there is a wide range of support available. Further advice can be found in the Live Well section, and there are a number of support groups (see useful links, right).

Surgery can be used to treat people who are severely obese and have tried other methods of weight loss with no success. There are a variety of techniques, although these do carry risks and may not be suitable for everyone.




Last reviewed: 05/03/2012

Next review due: 05/03/2014

Comments are personal views. Any information they give has not been checked and may not be accurate.

nordicgal said on 29 April 2011

Whilst the information on this page is reasonably factual, in my experience, it is impossible to obtain any bariatric surgery if you live in the Bristol area. NHS Bristol hands over its responsibilities to private weight loss organisations such as Slimming Word, which is lamentable. To me it says it has given up.

If you had a BMI or 50 or over, if you don't have diabetes you will die before they will consider you for the operation. It is pointless applying to the Exceptions panel - they will only look at their own criteria and refuse you.

The text of this page should reflect the reality that operations such as this are as rare as hen's teeth. Ladies or Gents, don't get your hopes up - you won't be having any operation to help you.

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